Organization Active NPI

Bhealthy for Life, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Worthington, OH
National Provider Identifier
1760124481
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
BHEALTHY FOR LIFE, LLC
Practice address
1397 Worthington Centre Dr
Worthington, OH 43085-4901
Phone
(614) 352-6807
NPI assigned
Apr 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Virginia Clagg, LISW-S. LICDC
Title
Ceo
Phone
(614) 352-6807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

1397 Worthington Centre Dr
Worthington, OH 43085-4901

Mailing address

1397 Worthington Centre Dr
Worthington, OH 43085-4901
Phone (614) 352-6807

Other identifiers 1

IdentifierTypeStateIssuer
0335849MedicaidOH

Other names 1

  • BHealthy For Life Other name

National Provider Directory

National Provider Directory
Tax ID family
Bhealthy for Life2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1760124481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1397 WORTHINGTON CENTRE DR",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854901",
            "telephone_number": "614-352-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 WORTHINGTON CENTRE DR",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854901",
            "telephone_number": "614-352-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHEALTHY FOR LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "CLAGG",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-352-6807",
        "authorized_official_credential": "LISW-S. LICDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0335849",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BHealthy For Life",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Worthington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.